PT  - JOURNAL ARTICLE
AU  - Liddy, Clare
AU  - Mitchell, Rhea
AU  - Guglani, Sheena
AU  - Mihan, Ariana
AU  - Sethuram, Claire
AU  - Miville, Andrea
AU  - Keely, Erin
TI  - The Provincial Spread and Scale of the Ontario eConsult Service: Evaluation of the First 2 Years
AID  - 10.1370/afm.2812
DP  - 2022 May 01
TA  - The Annals of Family Medicine
PG  - 262--265
VI  - 20
IP  - 3
4099  - http://www.annfammed.org/content/20/3/262.short
4100  - http://www.annfammed.org/content/20/3/262.full
SO  - Ann Fam Med2022 May 01; 20
AB  - This paper reports on a multimethod cross-sectional study of the Ontario electronic consultation (eConsult) service. Utilization and closeout survey data from July 2018 through June 2020 were analyzed using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. Requesting clinicians submitted 60,474 eConsults, and monthly cases increased from 1,487 in July 2018 to 4,179 in June 2020. The median specialist response time was 1 day. An originally contemplated referral was avoided in 51% of cases. Ontario eConsult showed successful uptake across Ontario, demonstrating continued spread and scale, and offering a template for trailblazers looking to implement digital health innovations in their own jurisdictions.